| NPI | 1609710730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE FRAZIER Owner 708-466-9716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 152W00000X Optometrist | |
| 163WP0200X Registered Nurse, Pediatrics | |
| 174400000X Specialist | |
| 222Q00000X Developmental Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225CX0006X Rehabilitation Counselor, Orientation and Mobility Training Provider | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-07-08 |